Healthcare Provider Details

I. General information

NPI: 1720905938
Provider Name (Legal Business Name): SARAH SHULMAN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1876 POLK ST
HOLLYWOOD FL
33020
US

IV. Provider business mailing address

1776 POLK ST APT 1101
HOLLYWOOD FL
33020-4674
US

V. Phone/Fax

Practice location:
  • Phone: 954-923-7348
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN31671
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: